Ocorrência de mutações mitocondriais em carcinoma de mama

Abstract

Breast cancer is one ofthe most ftequent diseases among women, consequently much effort has been done in order to have earlier diagnosis or even to achieve higher cure rates. In this way, the present work had assessed three kinds of alterations in mitochondrial DNA aiming to verify possible relations between clinical and pathological data at the time of surgery and the occurrence of mitochondrial DNA mutations in the primary neoplasic tissue and metastasic axillary lymphonodes. In this sense, 82 samples were analyzed with respect to alterations at the D¬loop region (D310 and microsatelite (CA)n) and occurrence of large deletions at the 8295-3738 region. The results showed that variations at the D-Ioop region of the mtDNA, both at the 0310 location and the microsatellite (CA)n are frequent, confirming this region as a mutational hot-spot. Conversely, the deletion of 4977bp was rare (4%) in the analyzed samples, differing from results obtained in other works. A new deletion of 5247 pb within the region 8295-\3738 was found in a metastatic lymphonode sample. Direct comparison between primary tumor and metastatic lymphonodes showed that 53% of the compromised lymphonodes exhibit alterations at the mtDNA level. This alterations correspond to deletions at the microsatellite (CA)n, the D31O region, and one case of 4977bp delection. Considering that alterations at mtDNA level reflect the genomic instability, the present results can be considered as indicative of the higher degree of malignance of the cells present at the metastatic lynphonodes, and the occurrence of clonal selection during the metastatic process.